Public Health Policy as Educational
Beyond Short Term Behaviour Change in Non-Communicable Disease Prevention
DOI:
https://doi.org/10.5281/zenodo.19046201Keywords:
Non-communicable diseases, public health policy, health governance, behavioural change, social norms, health taxation, commercial determinants of health, public health ethicsAbstract
Public health policies to prevent non-communicable diseases (NCDs) are typically assessed through their short-term behavioural effects, yet their longer-term normative and educational influences are also key to consider. This commentary argues that public health policy should also be understood as a mechanism that shapes social norms, preferences, and autonomy over time. Recognising this guiding role is essential for a fuller evaluation of policy legitimacy and impact in contemporary NCD prevention.
References
1. World Bank, Saudi Health Council. Health policy evaluation guideline. Washington (DC): World Bank; 2025.
2. Basu S, Meghani A, Siddiqi A. Evaluating the health impact of large-scale public policy changes: classical and novel approaches. Annu Rev Public Health. 2017;38:351–370.
3. Thomas O. Understanding the justifications for food policies through political theory: a method for public policy analysis [doctoral dissertation]. Oxford: University of Oxford; 2024.
4. Dworkin G. Paternalism. In: Zalta EN, editor. The Stanford Encyclopedia of Philosophy [Internet]. Fall 2020 ed. Stanford (CA): Stanford University; 2020 [cited 2026 Jan 22]. Available from:
https://plato.stanford.edu/archives/fall2020/entries/paternalism/
5. Dai X, Gakidou E, Lopez AD. Evolution of the global smoking epidemic over the past half century: strengthening the evidence base for policy action. Tob Control. 2022;31(2):129–137.
6. World Health Organization. Noncommunicable diseases country profiles 2018. Geneva: World Health Organization; 2018.
7. Wilkinson TM. Do public health interventions infringe on autonomy? In: The Ethics of Public Health Paternalism. Oxford: Oxford University Press; 2025.
8. Buchanan DR. Promoting justice and autonomy in public policies to reduce the health consequences of obesity. Kennedy Inst Ethics J. 2015;25(4):395–417.
9. Raz J. The morality of freedom. Oxford: Clarendon Press; 1986.
10. Arneson RJ. Perfectionism and politics. Ethics. 2000;111(1):37–63.
11. Friedman M. Capitalism and freedom. In: Democracy: A Reader. New York: Columbia University Press; 2016. p. 344–349.
12. Wilson J. Philosophy for public health and public policy: beyond the neglectful state. Oxford: Oxford University Press; 2021.
13. World Health Organization. “Best buys” and other recommended interventions for the prevention and control of noncommunicable diseases. Geneva: World Health Organization; 2017. Available from:
https://www.who.int/publications/i/item/WHO-NMH-NVI-17.9
14. Kickbusch I, Allen L, Franz C. The commercial determinants of health. Lancet Glob Health. 2016;4(12):e895–e896. doi:10.1016/S2214-109X(16)30217-0.
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